This study examines systems of social support in assisted living facilities. A sample of 600 assisted living residents were interviewed to identify three systems of social support: formal, informal, and resident. The resident system of social support was found to be key in the utilization of the informal and formal social support systems. Cognitive status was found to be the only resident characteristic significantly influencing use in all three systems.
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References
1.
AniaB. J., VegaJ., GuerraL., & SuarezJ. L. (1996). Social support for the elderly living in a nursing home.Geriatrika, 12(6), 39–45.
2.
BassD. M., & NoelkerL. S. (1987). The influence of family caregivers on elders’ use of in-home services.Journal of Health and Social Behavior, 28, 184–196.
BothelW. L., FischerJ., & HayashidaC. (1998). Social support and depression among low income elderly. Journal of Housing for the Elderly, 13(1-2), 58–66.
5.
BrancaS., BennatiE., FerlitoL., SpallinaG., CardilloE., MalaguarneraM., & MottaM. (2008). The health-care in the extreme longevity. Archives of Gerontology and Geriatrics. Advance online publication. doi:10.1016/j.archger.2008.04.012
6.
BrummettB. H., BarefootJ. C., SieglerI. C., & SteffensD. C. (2000). Relation of subjective and received social support to clinical and self-report assessments of depressive symptoms in an elderly population.Journal of Affective Disorders, 61(1), 41–51.
7.
BryantW. K. (1992). Human capital, time use, and other family behavior.Journal of Family and Economic Issues, 13(4), 395–405.
8.
BubolzM. M., & SontagM. S. (1993). Human ecology theory. In BossP., DohertyW., LaRossaR., SchummW., & StenmentzS. (Eds.), Sourcebook of family theories and methods: A contextual approach (pp. 419–447). New York, NY: Plenum.
9.
ChangS. J., & YangM. S. (1999). The relationship between the elderly loneliness and its factors of personal attributes, perceived health status and social support. Kaohsiung Journal of Medical Sciences, 15(6), 337.
DavenportE. (2003). Applied Multivariate Statistics Class Notes, Spring 2003. Minneapolis: University of Minnesota.
12.
EustisN. M., & FischerL. R. (1991). Relationships between home care clients and their workers: Implications for quality of care.Gerontologist, 31, 447–456.
13.
GauglerJ. E., & KaneR. A. (2001). Informal help in the assisted living setting: A 1-year analysis.Family Relations, 50(4), 335–347.
14.
GauglerJ. E., & KaneR. L. (2007). Families and assisted living.Gerontologist, 47(3), 83–99.
15.
HarrisR. J. (2001). A primer of multivariate statistics (3rd ed.). Mahwah, NJ: Erlbaum.
16.
HoudeS. C. (1998). Predictors of elders’ and family caregivers’ use of formal home services.Research in Nursing and Health, 21, 533–543.
LoughM., & SchankM (1996). Health and social support among older women in congregate housing.Public Health Nursing, 13(6), 434–441.
19.
KahnR., GoldfarbM., Pollack., & PeckA. (1960). Brief objective measures for the determination of mental status in the aged.American Journal of Psychiatry, 117, 326–328.
20.
KaneR. A. (2001). Year end report: Health care research initiative study of apartment-style assisted living Report submitted to Robert Wood Johnson Foundation. Retrieved from http://www.rwjf.org/reports/grr/034398.htm.
21.
KaneR. A., KaneR. L., & LaddR. C. (1998). The heart of long-term care. New York, NY: Oxford University Press.
22.
LeeH. J. (1993). Rural elderly individuals: Strategies for delivery of nursing care.Nursing Clinics of North America, 28(1), 219–230.
23.
LewisJ. S. (1997). Housing and social support needs of elderly persons: A needs assessment in an independent living facility.Evaluation and Planning, 20(3), 269–279.
24.
LiangJ., KrauseN. M., & BennettJ. M. (2001). Social exchange and well-being: Is giving better than receiving?Psychology & Aging, 16(3), 511–523.
25.
MaxW., WebberP., & FoxP. (1995). Alzheimer's disease: The unpaid burden of caring.Journal of Aging and Health, 7, 179–199.
26.
MeadL. C., EckertJ. K., ZimmermanS., & SchumacherJ. G. (2005). Sociocultural aspects of transitions from assisted living for residents with dementia. Gerontologist, 45(Suppl. 1), 113–123.
27.
MillerB., & McFallS (1991). The effect of caregiver's burden on change in frail older persons’ use of formal helpers.Journal of Health and Social Behavior, 32, 165–179.
28.
MillerB., McFallS., & CampbellR. T. (1994). Changes in sources of community long-term care among African American and White frail older persons.Journal of Gerontology: Social Sciences, 49, S14-S24.
29.
MollicaR. (2000). State assisted living policy: 2000.Portland, ME: National Academy for State Health Policy.
30.
MossM. S., LawtonM. P., KlebanM. H., & DuhamelL. (1993). Time use of caregivers of impaired elderly before and after institutionalization. Journal of Gerontology, 48, S102-S111.
31.
PilisukM., MontgomeryM., ParksS., & AcredoloC. (1993). Locus of control, life stress, and social networks: Gender differences in the health status of the elderly. Sex Roles, 28(3-4), 147–166.
32.
RussellD. W., & CutronaC. E. (1991). Social support, stress, and depressive symptoms among the elderly: Test of a process model.Psychology & Aging, 6(2), 190–201.
33.
RyanM. C. (1998). The relationship between loneliness, social support, and decline in cognitive function in the hospitalized elderly.Journal of Gerontological Nursing, 24(3), 19–26.
34.
SchiambergL. B., & GansD. (1999). An ecological framework for contextual risk factors in elder abuse by adult children. Journal of Elder Abuse and Neglect, 11(1), 79.
35.
ShyeD., MulloolyJ., FreebornD., & PopeC. (1995). Gender differences in the relationship between social network support and mortality: A longitudinal study of an elderly cohort.Social Science & Medicine, 41(7), 935–947.
36.
ThuenF., ReimeM. H., & SkratuvollK. (1997). The effect of widowhood on psychological well-being and social support in the oldest groups of the elderly.Journal of Mental Health, 6(3), 265–274.
37.
TremenickM. J. (1997). Thriving, not just surviving: The importance of social support among the elderly.Journal of Psychosocial Nursing and Mental Health Services, 35(9), 27–31.
38.
U.S. Census Bureau. (2003). Aging in the United States—Past, present, and future. National Institutes on Aging, U.S. Department of Commerce Economics and Statistics Administration. Retrieved from http://www.census.gov/population/international/files/97agewc.pdf.
39.
U.S. Census Bureau. (2004). We the people: Aging in the United States. U.S. Department of Commerce Economics and Statistics Administration. Retrieved from http://www.census.gov/prod/2004pubs/censr-19.pdf.
40.
WareJ., & SherbourneC (1992). The MOS 36-item Short Form Health Survey (SF -36). Medical Care, 30, 473–483.
41.
WhitlachC. J., & NoelkerL. (1996). Caregiving and caring.Encyclopedia of Gerontology, 1, 253–268.
42.
WilliamsS. W., & Dilworth-AndersonP. (2002). Systems of social support in families who care for dependent African American elders.Gerontologist, 42(2), 224–236.